CRF Version Log
CRFs
CRF 1 Eligibility Form
CRF 2A Randomisation
Form
CRF 2B Registration Form
CRF 3 Baseline Form
CRF 4A Mammography
Form
CRF 5A Annual Follow-up
Form Main Study
CRF 5B Annual Follow-up
Form Cohort Study
Current
Version &
Date
Superseded
Version and
Date
V2.1
09.09.14
V2.1
23.05.14
V2.1
23.05.14
V2.3
09.09.14
V2.2
09.09.14
V2.2
10.12.14
V1.2
25.03.15
V2.0
29.04.12
V2.0
29.04.14
V2.0
29.04.14
V2.2
09.06.14
V2.1
01.08.14
V2.1
23.05.14
V1.1
10.12.14
CRF and Questionnaire Booklet Version Log V3.3; 25 Mar 2015
Summary of Changes
No changes made
No changes made
No changes made
No changes made
No changes made
No changes made
Wording of answer to 5.1.5 option 1 changed. Was MAMMO-50 scheduled FU now Scheduled FU
Mammogram. The wording has been changed as Mammo-50 schedule follow-up is not relevant to
Cohort participants as their mammogram schedule is standard practice.
CRF Version Log
CRFs
Current
Version &
Date
Superseded
Version and
Date
Summary of Changes
CRF 6A Withdrawal from
Scheduled Mammograms
and Participant
Questionnaire Completion.
V3.0
25.03.2015
V2.1
16.09.14
This form has now become Withdrawal from scheduled mammograms and participant questionnaire
completion. This was a decision made by the TMG to have these two options for withdrawal put into
their own separate withdrawal form. Annual follow-up forms will still be completed for this group of
participants.
CRF 6B Sub-Study
Withdrawal Form
CRF 6C Withdrawal Form
CRF 7 Event Form
CRF 8 Notification of Death
Form
CRF 9 Transfer Form
CRF 10 Protocol Deviation
Form
V1.0
16.09.14
V1.0
25.03.15
V2.0
29.04.14
V2.0
29.04.14
V2.0
29.04.14
V1.0
25.03.2015
NEW FORM
NEW FORM
CRF and Questionnaire Booklet Version Log V3.3; 25 Mar 2015
Previously CRF 6A. Please only complete if the participant wants to withdraw from all aspect of the
trial.
CRF Version Log
Questionnaire Booklets
CRF 4b Main Study
Questionnaire Booklet
Cohort Questionnaire
Booklet
Quality of Life
Questionnaire Booklet
New Version
& Date
Superseded
Version and
Date
V1.0
01.10.13
V1.0
01.10.13
V1.0
01.10.13
CRF and Questionnaire Booklet Version Log V3.3; 25 Mar 2015
Summary of Changes